GRAYSTONE EYE SURGERY CENTER LLC· HICKORY, NC
Ambulatory surgery center
2424 CENTURY PL SE, HICKORY, NC 28602
Procedures offered
314 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $540 | $12,676 | $42,765 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $540 | $12,181 | $33,816 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $540 | $12,181 | $33,816 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $540 | $12,598 | $45,983 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $610 | $14,237 | $45,983 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $540 | $11,801 | $30,000 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $540 | $10,135 | $25,000 |
| Carpal tunnel release CPT 64721 • Orthopedics | $534 | $6,638 | $28,516 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $397 | $6,405 | $15,000 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $57 | $338 | $515 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $57 | $372 | $662 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $57 | $323 | $515 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $540 | $14,528 | $28,516 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $63 | $5,153 | $15,000 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $20 | $126 | $397 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $397 | $11,020 | $32,000 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $219 | $6,766 | $19,682 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $397 | $15,199 | $30,000 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $397 | $569 | $740 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $57 | $183 | $397 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $397 | $10,600 | $40,000 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $57 | $227 | $397 |
| Unlisted nervous system procedure CPT 64999 • Pain Management | $57 | $236 | $397 |
| Rotavirus vaccine pentavalent CPT 90680 • Preventive Care | $111 | $111 | $111 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $206 | $302 | $397 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $470 | $7,551 | $28,516 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $470 | $7,551 | $28,516 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $540 | $7,107 | $19,682 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $540 | $7,686 | $28,516 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $540 | $10,051 | $28,516 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $540 | $7,686 | $28,516 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $540 | $7,970 | $28,516 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $57 | $943 | $2,231 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $99 | $99 | $99 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $157 | $214 | $272 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $204 | $275 | $346 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $46 | $46 | $46 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $1,016 | $1,016 | $1,016 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $88 | $88 | $88 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $35 | $67 | $99 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $59 | $127 | $196 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $100 | $100 | $100 |
| Proton beam treatment simple CPT 77520 • Radiation Therapy | $703 | $703 | $703 |
| Proton beam treatment complex CPT 77523 • Radiation Therapy | $919 | $934 | $948 |
| Laparoscopic partial nephrectomy CPT 50543 • Urology | $540 | $5,350 | $10,160 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $540 | $5,350 | $10,160 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $1,431 | $6,661 | $16,257 |
| Complex uroflowmetry CPT 51741 • Urology | $57 | $57 | $57 |
| Post-void residual urine measurement CPT 51798 • Urology | $19 | $38 | $57 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $383 | $5,225 | $19,682 |